Prophecy OR RN A v2 Questions &
Answers
What type of support would you place to alleviate pressure on the brachial plexus nerve when a patient
is in a side-lying position - Axillary Roll
You are the circulating nurse confirming consent with a patient scheduled for an exploratory laparotomy
wit...
Prophecy OR RN A v2 Questions & Answers What type of support would you place to alleviate pressure on the brachial plexus nerve when a patient is in a side -lying position - ✔✔Axillary Roll You are the circulating nurse confirmi ng consent with a patient scheduled for an exploratory laparotomy with colostomy. The patient states they do not want a colostomy. What should you do? - ✔✔Do not take the patient to the operating room and consult the surgeon immediately What equipment is most important for a patient undergoing an emergency trauma surgery who declines a donated blood transfusion - ✔✔Cell Saver You have been asked to take a specimen from an OR during a bronchoscopy and immediately take it to the lab. What must you do first - ✔✔Confirm the specimen label and patient name You suspect long -term substance abuse during the pre -op interview with your patient. Which of the following assessment findings would support this suspicion - ✔✔nasal irritation and frequent sniffing, needle tracks on arms, and burns on fingers and lips After applying an alcohol -based skin preparations for a laser procedure, what should you do next - ✔✔assess for pooling or moisture from the prep What medication should be administered to a patient who has r eceived moderate sedation with midazolam who has unexpected respiratory depression - ✔✔romazicon (flumazenil) After starting a blood transfusion, you observe that a patient undergoing moderate sedation has a temperature increase from 98.2 to 101.3 and coa rse breath sounds. What is the first thing you should do - ✔✔Stop the transfusion and notify the surgeon What is the minimum distance unscrubbed personnel should remain from the sterile field - ✔✔12 inches You are preparing a patient for a laparotomy. Wh at instrument do you anticipate seeing on the back table - ✔✔malleable Which of the following medications is contraindicated for a patient with a family history of malignant hyperthermia - ✔✔Quelicin (succinylcholine) You are caring for a patient who is infected with Methicillin - Resistant Staphylococcus Aureus (MRSA). What infection control practice must you implement after transferring the patient - ✔✔Clean and disinfect all patient care equipment Upon opening a ster ile major tray, you discover the chemical indicators are missing. What should you do? - ✔✔Remove and replace the major tray As a circulator, where do you stand during induction - ✔✔at the head of the bed You are the perioperative nurse who is doing the p reoperative skin preparation on a clean abdominal case. Where should you start the skin preparation - ✔✔site of incision and move to the periphery A patient was prepared for intubation by mask ventilation with a mixture of sevoflurane, nitrous oxide, and oxygen. One minute after intubation their heart rate increased from 160 to 195 b/m. Soon the patient's end tital carbon dioxide concentration was increased from 35 to 65 mmHg. Also, the patient's oral temperature increased to 38.9 within 5 minutes after in duction. What is the patient experiencing - ✔✔Malignant Hyperthermia After draping the left side of the patient, how should you drape the right side - ✔✔From the left side open the drape over the patient Shake the drape open as your assistant places the d rape Reach over the patient to place the drape Walk around the operating room table
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